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find Author "胡福定" 2 results
  • Clinical Analysis Of 27 Cases with Dermatomyositis and Polymyositiswith PulmonaryInvolvement

    Objective To analyze the clinical characteristics of dermatomyositis ( DM) and polymyositis ( PM) with pulmonary involvement. Methods A retrospective study was performed in 27 DM/PM patients with pulmonary involvement, who were admitted to the First People’s Hospital of Kunming fromJanuary2001 to December 2009. The clinical manifestation, laboratory examination, chest high resolution CT ( HRCT) , pulmonary function test, treatment efficacy and prognosis were analyzed. Results In 27 DM/PM patients with pulmonary involvement, pulmonary manifestations occurred in 23 cases, such as cough ( 44% ) , expectoration ( 30% ) , and dyspnea ( 11% ) . Erythrocyte sedimentation rate, creatine kinase, C-reactive protein, and lactic dehydrogenase were significantly increased in 63% , 67% , 56% , and 44% of patients. Anti-Jo-1 antibody was positive in eight cases ( 29% ) . The electromyogram ( EMG) revealed myogenic changes in all patients. Pulmonary interstitial changes were the predominant HRCT manifestations. Pulmonary function test revealed mainly restrictive ventilation dysfunction and decreased diffusion capacity. Most patients had a good prognosis by glucocorticoid treatment. Conclusions For patients with DM/PM, especially who present nonspecific pulmonary symptoms, chest HRCT and pulmonary function test should be recommended as early screening tools.

    Release date:2016-08-30 11:56 Export PDF Favorites Scan
  • 昆明地区健康成人动脉血气正常值范围探讨

    目的 探讨中度海拔昆明地区健康成人的血气分析正常值。方法 选择1140 例在云南省第一人民医院进行健康体检并世居昆明地区的企业职工、公务员、退休企事业人员, 进行血气分析。结果 昆明地区PaO2、PaCO2、HCO3- 、SaO2 在男和女分别为( 71. 86 ±6. 15) mmHg和( 70. 80 ±6. 71) mmHg, ( 29.44 ±2.98) mm Hg和( 28. 32 ±3. 00) mm Hg, ( 17. 80 ±2. 10) mmol /L和( 17. 41 ±2. 26) mmol /L, ( 94. 34 ±1. 51) % 和( 93. 85 ±1. 94) % , 均较海平面地区低, 较更高海拔地区数值高,说明海拔高度对血气的影响是很明显的。结论 对于中度海拔地区居民, 判断其血气分析正常值要结合当地的数据。

    Release date:2016-09-14 11:23 Export PDF Favorites Scan
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